Nikah-Wedding Application Primary Contact InformationFirst Name *Middle NameLast Name *Cell Phone *Email Address *Groom InformationFirst Name *Middle NameLast Name *Age *Father Name *Street Address *City *State/Province *ZIP / Postal Code *Cell Phone *Email Address *Marital Status *SingleMarriedDivorcedWidowerIf other than single, must provide Divorce/Death certificates.Bride InformationFirst Name *Middle NameLast Name *Age *Father Name *Street Address *City *State/Province *ZIP / Postal Code *Cell Phone *Email Address *Marital Status *SingleMarriedDivorcedWidowerIf other than single, must provide Divorce/Death certificates.Bride’s Representative (Wali) InformationFirst Name *Middle NameLast Name *Street Address *City *State/Province *ZIP / Postal Code *Cell Phone *Email Address *Relationship to BrideExample: Father, Uncle, BrotherWitness #1 InformationFirst Name *Middle NameLast Name *Street Address *City *State/Province *ZIP / Postal Code *Cell PhoneEmail AddressWitness #2 InformationFirst Name *Middle NameLast Name *Street Address *City *State/Province *ZIP / Postal Code *Cell PhoneEmail AddressMehr DetailsTotal *USDMu’aajjal (Advanced)USDMu’ajjal PostponedUSDEvent DetailsDate *Time *HourMinuteAMPMLocation *By signing this form, we have read, understood, and fully comply to all of Darul Uloom New Jersey’s requirements,guidelines and testify that the information provided in the application is true to the best of my knowledge. We furtherrecognize that neither Darul Uloom New Jersey, nor its affiliates, will incur legal responsibility in matters related to the twoparties. Submit Application
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